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Prediabetes is a warning sign that your insulin levels are rising and can be prevented or reversed with healthy lifestyle choices: Eat healthy foods: Choose whole foods, fruits, vegetables, nuts, and olive oil. Limit sugary and processed foods, and reduce alcohol consumption. Exercise more: Aim for at least 150 minutes of moderate or 75 minutes of vigorous aerobic activity a week. Lose weight: Losing 5–7% of your body weight can significantly reduce the risk of type 2 diabetes. Manage stress: Chronic stress can contribute to insulin resistance. Quit smoking: Smoking can negatively impact insulin levels and blood sugar levels. Sleep enough: Getting less than 7 hours of sleep can make it harder to manage blood sugar. Control your blood pressure and cholesterol: These can also help prevent type 2 diabetes.